Provider Demographics
NPI:1619158748
Name:FALK, STEWART J (DC)
Entity Type:Individual
Prefix:
First Name:STEWART
Middle Name:J
Last Name:FALK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GREENWOOD PL
Mailing Address - Street 2:#108
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2762
Mailing Address - Country:US
Mailing Address - Phone:410-486-4045
Mailing Address - Fax:410-486-4047
Practice Address - Street 1:3 GREENWOOD PL
Practice Address - Street 2:#108
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2762
Practice Address - Country:US
Practice Address - Phone:410-486-4045
Practice Address - Fax:410-486-4047
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1170PT111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM241Medicare PIN